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PERMITTEE NAME/ADDRESS pnclude Faciliry Nome/Gocarion ~D~erenq
<br />NAME CYPHU9 YAMPA VALLEY COAL C08P.
<br />ADDRESSgI NF'S I, lt:i SCIITH, & ECK"At• PX
<br />ylU`3 EAST t1IN68AL CI"CLE
<br />FACILITY f, ~. ~i.'kOOD CO °U155
<br />LOCATION
<br />aTTN: t'GriL~ 11. K3GLLY, 1;FNENAL ATFY
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR;
<br />(2461 nl- 9)
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<br />PERMIT NUMBER DISCHARGE NUMBER
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<br />YEAR MO DAY YEAR MO DAY
<br />FROM U CI U .T U 1 TO U U U ~ i
<br />(20-211 f22-231 (Ia~25) (262)) (IB-29) (30-31)
<br />Form Approved.
<br />OMB No. 2040-0004
<br />:. +, Ju ~; Approval expires 05-31-9B
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY IXAMINED AND
<br />AM FAMIUM WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MV ),' ~ TELEPHONE DATE
<br />
<br />Richard Mllls INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE, '
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<br />t ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
<br />PENALTIES FOR SUBMnTING FALSE INFORMATION
<br />INCLUDING THE
<br />970-870-2711
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<br />POSSIBILITY OF FINE AND IMPRISONMENT
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) ,
<br />.LTt;f.it~lTt LIMITS fCH T55, 1HCN G SETTLcAHLP_'CLID~ (LO^_ 'O') 9PPLY ONL'f IF <= 10-YN, 2U-Hk PBECIP 5YENT
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<br />EPA Form 3320.1 (OB-95)r Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) ~~ 06 d / U U U 4 Uri - 15 U 1 PAGE ? OF
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